The New Ballard Score NEUROMUSCULAR MATURITY

SIGN
-1 Posture Square Window Arm Recoil Popliteal Angle Scarf Sign Heel To Ear TOTAL NEUROMUSCULAR SCORE 0 1

www.ballardscore.com MATURITY RATING

SCORE
2 3 4 5

SIGN SCORE

TOTAL SCORE -10 -5 0 5 10 15 20 25 30 35 40 45 50

WEEKS 20 22 24 26 28 30 32 34 36 38 40 42 44

SCORE SIGN -1 Sticky, friable, transparent 0 gelatinous, red, translucent 1 2 superficial peeling &/or rash, few veins 3 cracking, pale areas, rare veins 4 parchment, deep cracking, no vessels 5 leathery, cracked, wrinkled SIGN SCORE

Gestation by Dates weeks Birth date Hour am pm APGAR 1 min 5min

Skin

smooth pink, visible veins

Lanugo

none

sparse

abundant

thinning

bald areas

mostly bald

Plantar Surface Breast

heel-toe 40-50mm: -1 <40mm: -2 imperceptable

>50 mm no crease barely perceptable lids open pinna flat stays folded scrotum empty, faint rugae prominent clitoris & small labia minora

faint red marks flat areola no bud sl. curved pinna; soft; slow recoil testes in upper canal, rare rugae prominent clitoris & enlarging minora

anterior transverse crease only stippled areola 1-2 mm bud well-curved pinna; soft but ready recoil testes descending, few rugae majora & minora equally prominent

creases ant. 2/3 raised areola 3-4 mm bud formed & firm instant recoil testes down, good rugae majora large, minora small

creases over entire sole full areola 5-10 mm bud

Eye / Ear

lids fused loosely: -1 tightly: -2 scrotum flat, smooth clitoris prominent & labia flat

thick cartilage ear stiff testes pendulous, deep rugae majora cover clitoris & minora

Genitals (Male) Genitals (Female)

Scoring Gest. Age by Maturity Rating Time of Exam

________weeks Date_________ am Hour______ pm _________hours

TOTAL PHYSICAL MATURITY SCORE

Age at Exam

Signature of Examiner

M.D. / R.N. References : Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature infants. J Pediatrics 1991; 119:417-423. http://ballardscore.com/Pages/ScoreSheet.aspx